The Senior Clinical Advisor serves as the senior clinical subject matter expert for a defined market, country, region, or specialty area. The role provides clinical leadership and insight to support market strategy, customer and provider engagement, clinical governance, and the adaptation of enterprise clinical programs to local market requirements.

Working closely with the Regional Medical Executive, Clinical Strategy & Value Lead, and operational teams, the Senior Clinical Advisor ensures that clinical decisions, market priorities, and stakeholder needs are aligned to deliver measurable health outcomes and business value. This role supports both internal and external stakeholders and acts as a trusted clinical representative of the organization within the market. The Senior Clinical Advisor supports alignment of clinical strategy, market delivery, and stakeholder engagement

Key Responsibilities

Clinical Leadership & Expertise

• Serve as a clinical subject matter expert for the assigned market, region, or specialty.
• Provide clinical consultation on complex cases, emerging healthcare trends, and market-specific clinical challenges.
• Support clinical governance activities and contribute expert input to risk management discussions.
• Offer insight on clinical implications of market, regulatory, and industry developments.

Provider & Stakeholder Engagement

• Develop and maintain trusted relationships with healthcare providers, hospitals, medical networks, and professional organizations.
• Represent the organization in external clinical discussions, provider forums, client meetings, and industry engagements.
• Support the Regional Medical Executive in strengthening strategic relationships with key stakeholders.
• Act as a visible and credible clinical ambassador within the market.

Market Intelligence & Strategic Insight

• Provide insight into local healthcare systems, provider dynamics, competitive activity, and regulatory developments.
• Identify emerging market trends and opportunities that may influence business strategy or clinical priorities.
• Support market assessments, due diligence activities, and strategic planning efforts through clinical expertise.
• Contribute local perspectives to enterprise discussions and decision-making.

Clinical Governance & Risk Support

• Support adherence to clinical governance standards and best practices.
• Provide expert input into clinical policy reviews and governance forums when required.
• Escalate significant clinical risks, quality concerns, or market issues through appropriate channels.
• Support root-cause reviews and lessons learned activities as a clinical expert.

Cross-Functional Collaboration

• Partner closely with Market Leadership, Clinical Operations, Pharmacy, Network, Provider Services, Product, and Medical Economics.
• Provide clinical perspective to affordability, quality, customer experience, and growth initiatives.
• Support evaluation of clinical implications of new products, partnerships, and market opportunities.
• Serve as a trusted advisor to internal stakeholders on matters requiring local clinical insight.

SKILLS AND KNOWLEDGE NEEDED:

• Required

• Medical degree or equivalent licensed healthcare professional qualification.
• Significant clinical experience in practice, payer, provider, assistance, population health, or managed care environments.
• Experience engaging with senior provider, client, or market stakeholders.
• Strong understanding of healthcare delivery and clinical governance.

Preferred

• Experience working across multiple healthcare systems or international markets.
• Experience supporting performance improvement, value-based care, affordability, or clinical transformation initiatives.
• Demonstrated ability to influence through expertise rather than direct authority.

About The Cigna Group